论曰疔肿者,由风邪毒瓦斯,入于肌肉所生也,凡有十种,一者,疮头乌而强凹,二者,
疮头白而肿实,三者,疮头如豆 色,四者,疮似葩红色,五者,疮头内有黑脉,六者,疮
头亦
石榴
着则
深孔
疼,
气血
治紫靥疔疮,不疼硬肿,腋下有根如鸡卵。白石脂散方
白石脂(烧) 赤石脂(各半两) 雄黄(一分) 乳香(二钱)
上四味,研为末,未破者用朴硝水调贴,已破有脓者干贴。
治疔肿方
河东柳宗元,元和十一年,得疔疮,凡四十日,他药敷之,皆莫能去,长乐贾宣伯教用
蜣螂心,一夕而穴,百苦皆已,明年正月因食羊肉,又大作,再用之亦如神,蜣螂心腹下度
取之
治疔疮。日本国敷巴豆涂方
巴豆(十粒) 半夏(一枚) 附子(半枚) 蜣螂(一枚)
上四味,各为末,以人粪相和,看疮大小,作纸圈子围疮口,以药泥疮上,绢贴之,一
日三易。
治疔肿。地骨皮散方
地骨皮(捣末半两) 小麦 麻子(各十粒烧灰) 绯帛(方五寸烧灰) 曲头 棘刺
(二七
枚烧灰) 半夏(七枚炒黄捣末) 乱发(一团如鸡子烧灰)
上七味,研和令匀,每服二钱匕,空心温酒调下,至晚再服。
治疔肿。牛黄散方
牛黄(一粒如大豆) 绯帛(方一尺) 乱发(二团如鸡子大) 曲头棘刺(二十枚) 赤
小豆(二七枚) 地骨皮(二两末)
上六味,将四味以绯帛裹,于熨斗内烧灰,细研为散,入地骨皮末和匀,每服二钱匕,
空心温酒调下,日晚再服。
治疔肿痈疽等。丁香散方
丁香(七枚) 绯帛(方一尺) 曲头棘刺 腊月大豆黄(各一两) 母猪屎(三块如
鸡子大)
上八味,将七味以绯帛裹,于熨斗内火烧令烟尽,细研为散,每服二钱匕,空心温酒调
下,盖复取汗,若汗不出,任意饮酒,以汗为度。
治疔肿,蛇蜕散方
蛇蜕皮(一两半白者) 露蜂房(半两) 乱发(一团如鸡子大童子者妙)
上三味锉碎,于熨斗内烧灰,细研为散,每服二钱匕,空心米饮调下,盖复出汗,更服
。治疔肿涂敷诸药后,如犯触者服。苍耳散方
苍耳子(二七粒) 露蜂房(一两) 曲头棘刺(二七枚) 绯帛(方五寸) 乱发(一
团如鸡
子大) 青蒿(二七茎) 丹砂(一分研别入)
上七味,将六味锉碎,于熨斗内烧灰,细研为散,入丹砂末和匀,每服二钱匕,空心温
酒调下,日晚再服。
治疔肿。露蜂房散方
露蜂房 乱发 蛇蜕 棘针(各三两)
上四味,以绯帛裹,于熨斗内烧灰,细研为散,空心温酒调下一钱匕,晚再服,根自出
治疔肿毒瓦斯。白牙涂敷方
白马牙(烧研) 附子(捣为末) 雄黄(研) 半夏(捣为末各半两) 猪脂(四两
熬去滓)
上五味,将四味捣研为末,以猪脂调如糊,先以针刺疮头,即涂敷,日三五上,疮根烂
再涂,以瘥为度。
治疔肿。大黄散敷方
大黄(锉炒) 秦艽(去苗土) 藜芦(去芦头) 石硫黄(研) 砂(研各一两)
上五味,将前三味捣罗为散,与后二味研者和匀,水调涂敷,日三五次,以瘥为度。
又方
曲头棘刺(二百枚锉) 陈橘皮(汤浸去白切二两)
上二味,以水五升,煎至一升半,去滓分温三服,空心日午晚间各一,以瘥为度。
治一切疔肿。苍耳膏方
苍耳根茎叶(不拘多少)
上一味,烧灰研细,以醋泔淀调如糊,涂敷,干即再涂,以瘥为度。
又方
铁浆(不限多少)
上一味,每日食后饮一盏、即瘥。
治疔肿。斑蝥敷方
斑蝥(一枚捻破) 蒜皮(一片)
上二味,取针拨破疮头,纳斑蝥于疮口中,以蒜皮盖定,日一度,根出瘥。
治疔肿。白僵蚕散敷方
白僵蚕(半两炒为末)
上一味,刮开,疮头上敷之,日三,根烂即出。
治疔肿,胡麻涂敷方
胡麻(烧灰) 针砂(各半两)
上二味,和研令细,用醋调如糊,涂敷肿上,日三易瘥。
又方
雄黄(研一分)
上一味,细研为散,每日三五度敷肿上,如干用醋涂,以瘥为度。
治疔肿,内消。棘针散方
棘针(倒勾多年者三十二枚) 大豆黄(生用四十枚) 绯帛巾(三条每条阔一寸) 乱
发(
如鸡子大三团)
上四味,分作三分,各将绯帛一片,裹棘针豆了,用发一团缠裹,令周匝牢固,各于炭
火上,烧令烟尽,先研两团令细,温酒半盏调下,候觉疮四边软即瘥,过半日未效,更服一
团必
治疗肿方
干姜(炮) 胡椒(炒) 龙骨(碎) 斑蝥 皂荚(去皮炙各一两)
上五味,捣筛为末,以酒和封贴,日一度,更服后药。
治疗肿毒瓦斯,二灰散涂方
棘针(倒勾烂者三枚) 丁香(七枚)
上二味,同于瓶内烧令烟断研细,以未盈月孩子粪和,涂肿上,日三两度。
论述说:疔肿,是由于风邪毒气侵入肌肉所形成的。共有十种类型:第一种,疮头呈黑色且坚硬凹陷;第二种,疮头白色且肿胀坚实;第三种,疮头颜色像豆子一样(指青色或紫色);第四种,疮色似花瓣般发红;第五种,疮头内部有黑色的脉络;第六种,疮头也……(原文此处有缺漏或错简,结合下文“着则深孔疼”推测为描述疼痛剧烈、深入如孔);第七种至第十种未在此处详述,但后文列举了多种治疗方剂。
治疗紫靥疔疮,症状为不疼痛、硬肿,腋下根部肿大如鸡蛋大小。白石脂散方:
白石脂(煅烧)、赤石脂(各半两)、雄黄(一分)、乳香(二钱)。
以上四味药,研成细末。疮未破溃者,用朴硝水调匀后贴敷;已破溃且有脓者,直接干撒药粉。
治疗疔肿方:
河东人柳宗元,在元和十一年患疔疮,历时四十天,使用其他药物外敷,均未能治愈。长乐人贾宣伯教他用蜣螂心,一夜之间疮口愈合,所有痛苦都消除了。第二年正月因吃羊肉,病情又严重发作,再次使用此法,效果神奇。取蜣螂心腹下部分来治疗疔疮。
日本国敷巴豆涂方:
巴豆(十粒)、半夏(一枚)、附子(半枚)、蜣螂(一枚)。
以上四味药,分别研成细末,与人粪混合。根据疮口大小,用纸圈围住疮口,将药泥敷在疮上,用绢布贴好,每天更换三次。
治疗疔肿的地骨皮散方:
地骨皮(捣成末半两)、小麦、麻子(各十粒,烧成灰)、绯帛(五寸见方,烧成灰)、曲头棘刺(十四枚,烧成灰)、半夏(七枚,炒黄后捣成末)、乱发(一团如鸡蛋大,烧成灰)。
以上七味药,研磨混合均匀。每次服用二钱匕,空腹时用温酒送服,到了晚上再服一次。
治疗疔肿的牛黄散方:
牛黄(一粒,如大豆大)、绯帛(一尺见方)、乱发(两团如鸡蛋大)、曲头棘刺(二十枚)、赤小豆(十四枚)、地骨皮(二两,制成末)。
以上六味药,将前四味用绯帛包裹,在熨斗内烧成灰,细细研成散剂,加入地骨皮末混合均匀。每次服用二钱匕,空腹时用温酒送服,傍晚再服一次。
治疗疔肿痈疽等的丁香散方:
丁香(七枚)、绯帛(一尺见方)、曲头棘刺、腊月产的大豆黄(各一两)、母猪屎(三块,如鸡蛋大)。
以上八味药,将前七味用绯帛包裹,在熨斗内火烧至烟尽,细细研成散剂。每次服用二钱匕,空腹时用温酒送服,服药后覆盖衣被以取汗。如果不出汗,可随意饮酒,以出汗为标准。
治疗疔肿的蛇蜕散方:
蛇蜕皮(一两半,白色的)、露蜂房(半两)、乱发(一团如鸡蛋大,童子的更佳)。
以上三味药切碎,在熨斗内烧成灰,细细研成散剂。每次服用二钱匕,空腹时用米汤送服,覆盖衣被出汗,然后再服药。
治疗疔肿涂敷诸药后,如果受到触碰刺激,可服用此方。苍耳散方:
苍耳子(十四粒)、露蜂房(一两)、曲头棘刺(十四枚)、绯帛(五寸见方)、乱发(一团如鸡蛋大)、青蒿(十四茎)、丹砂(一分,单独研细另入)。
以上七味药,将前六味切碎,在熨斗内烧成灰,细细研成散剂,加入丹砂末混合均匀。每次服用二钱匕,空腹时用温酒送服,傍晚再服一次。
治疗疔肿的露蜂房散方:
露蜂房、乱发、蛇蜕、棘针(各三两)。
以上四味药,用绯帛包裹,在熨斗内烧成灰,细细研成散剂。空腹时用温酒送服一钱匕,晚上再服,病根自会排出。
治疗疔肿毒瓦斯。白牙涂敷方:
白马牙(烧后研末)、附子(捣成末)、雄黄(研细)、半夏(捣成末,各半两)、猪脂(四两,熬去渣滓)。
以上五味药,将前四味捣研成末,用猪脂调成糊状。先用针刺破疮头,然后涂敷,每天三到五次,待疮根腐烂后再涂,直到痊愈为止。
治疗疔肿的大黄散敷方:
大黄(锉碎炒制)、秦艽(去苗土)、藜芦(去芦头)、石硫黄(研细)、砂(研细,各一两)。
以上五味药,将前三味捣罗成散剂,与后两味研细的药混合均匀,用水调匀后涂敷,每天三到五次,直到痊愈为止。
又一方:
曲头棘刺(二百枚,锉碎)、陈橘皮(汤浸去白切,二两)。
以上两味药,用水五升,煎至一升半,去渣,分三次温服,分别在空腹、中午、晚间各服一次,直到痊愈为止。
治疗一切疔肿的苍耳膏方:
苍耳根茎叶(不限多少)。
以上一味药,烧成灰研细,用醋和淘米水沉淀物调成糊状,涂敷患处,干了就再涂,直到痊愈为止。
又一方:
铁浆(不限多少)。
以上一味药,每天饭后饮一盏,即可痊愈。
治疗疔肿的斑蝥敷方:
斑蝥(一枚,捻破)、蒜皮(一片)。
以上两味药,用针拨破疮头,将斑蝥放入疮口中,用蒜皮盖住固定,每天一次,待病根排出即愈。
治疗疔肿的白僵蚕散敷方:
白僵蚕(半两,炒后研末)。
以上一味药,刮开疮头,将药粉敷在上面,每天三次,待疮根腐烂即排出。
治疗疔肿的胡麻涂敷方:
胡麻(烧成灰)、针砂(各半两)。
以上两味药,混合研细,用醋调成糊状,涂敷在肿胀处,每天更换三次,即可痊愈。
又一方:
雄黄(研细一分)。
以上一味药,细细研成散剂,每天三到五次敷在肿胀处,如果干了就用醋涂抹,直到痊愈为止。
治疗疔肿,内消法。棘针散方:
棘针(倒钩多年的三十二枚)、大豆黄(生用四十枚)、绯帛巾(三条,每条宽一寸)、乱发(如鸡蛋大三团)。
以上四味药,分成三份。每份用一片绯帛包裹棘针和大豆,再用一团头发缠绕包裹,使其牢固。分别在炭火上烧至烟尽。先研细两团,用半盏温酒送服。等到感觉疮四周变软即为痊愈。如果过半日没有效果,再服一团,必定有效。
治疗肿方:
干姜(炮制)、胡椒(炒制)、龙骨(捣碎)、斑蝥、皂荚(去皮炙,各一两)。
以上五味药,捣碎过筛成末,用酒调和后封贴患处,每天一次,之后再服用后面的药方。
治疗肿毒瓦斯,二灰散涂方:
棘针(倒钩腐烂的三枚)、丁香(七枚)。
以上两味药,同放在瓶内烧至烟断,研细,用未满月的婴儿粪便调和,涂敷在肿胀处,每天三到五次。
Discussion states: Ding swelling (Ding carbuncle) arises from the invasion of wind-pathogenic qi and toxic factors into the muscles. There are ten types in total: The first type has a black, hard, and depressed sore head; the second type has a white, swollen, and solid sore head; the third type has a sore head colored like a bean (green or purple); the fourth type has a red sore head resembling flower petals; the fifth type has black meridians inside the sore head; the sixth type... [text missing/corrupted, inferred as deep pain]; the seventh through tenth types are not detailed here, but various treatment formulas are listed subsequently.
Formula for Purple Ding Carbuncle, characterized by non-painful, hard swelling with roots under the armpit as large as a chicken egg. Baishi Zhi San (White Halloysite Powder):
Baishi Zhi (Halloysitum Rubrum, calcined), Chishi Zhi (Kaolinite, calcined) (each 0.5 liang), Xionghuang (Realgar, 1 fen), Ruxiang (Boswelliae Resina, 2 qian).
The above four ingredients are ground into powder. For unbroken sores, mix with Puxiao Shui (Natrii Sulfas solution) and apply externally; for broken sores with pus, apply dry powder directly.
Formula for Treating Ding Swelling:
Liu Zongyuan from Hedong contracted a Ding carbuncle in the 11th year of Yuanhe. After forty days, other external applications failed to cure it. Jia Xuanbo from Changle taught him to use the heart of the dung beetle (Qianglang Xin). Overnight, the lesion healed, and all suffering ceased. In January of the following year, due to eating mutton, the condition recurred severely. Using this method again proved miraculous. Take the ventral part of the dung beetle's abdomen to treat Ding carbuncles.
Japanese Barodo Paste Formula:
Badou (Crotonis Fructus, 10 grains), Banxia (Pinelliae Rhizoma, 1 piece), Fuzi (Aconiti Lateralis Radix Praeparata, half a piece), Qianglang (Scarabaeus, 1 piece).
The above four ingredients are each ground into powder and mixed with human feces. According to the size of the sore, make a paper ring to surround the wound, apply the medicinal paste on the sore, and cover with silk gauze. Change once daily.
Digesta Cornutae San (Cortex Lycii Powder) for Treating Ding Swelling:
Digupi (Cortex Lycii Radicis, ground powder, 0.5 liang), Xiaomai (Tritici Semen, 10 grains), Maziren (Cannabis Semen, 10 grains), both burned to ash; Feibo (Red Silk Fabric, 5 cun square), burned to ash; Jici (Spina Gleditsiae Sinensis, 14 pieces), burned to ash; Banxia (Pinelliae Rhizoma, 7 pieces, stir-fried until yellow and ground); Luankuafa (Colla Corii Asini, one ball the size of a chicken egg), burned to ash.
The above seven ingredients are ground and mixed evenly. Take 2 qian bi per dose, administered orally with warm wine on an empty stomach, and repeat at night.
Niuhuang San (Calculus Bovis Powder) for Treating Ding Swelling:
Niuhuang (Calculus Bovis, 1 grain, size of a soybean), Feibo (Red Silk Fabric, 1 chi square), Luankuafa (Colla Corii Asini, two balls the size of a chicken egg), Jici (Spina Gleditsiae Sinensis, 20 pieces), Chixiaodou (Vigna Angularis Semen, 14 pieces), Digupi (Cortex Lycii Radicis, 2 liang, ground).
Take the first four ingredients, wrap them in red silk fabric, and burn to ash in an ironing pan. Grind finely into powder, mix with Digupi powder. Take 2 qian bi per dose, administered orally with warm wine on an empty stomach, and repeat in the evening.
Dingxiang San (Caryophylli Flos Powder) for Treating Ding Swelling and Carbuncles:
Dingxiang (Caryophylli Flos, 7 pieces), Feibo (Red Silk Fabric, 1 chi square), Jici (Spina Gleditsiae Sinensis), Doudahuang (Soybean, harvested in the twelfth lunar month, 1 liang each), Zhuzhishi (Sus Scrofa Domestica Excrementum, three pieces the size of a chicken egg).
The above eight ingredients, take the first seven, wrap in red silk fabric, and burn in an ironing pan until smoke ceases. Grind finely into powder. Take 2 qian bi per dose, administered orally with warm wine on an empty stomach. Cover with blankets to induce sweating. If sweat does not occur, drink alcohol freely until sweating is achieved.
Shetui San (Ophioglossi Retortae Powder) for Treating Ding Swelling:
Shetuipi (Ophioglossi Retorta, 1.5 liang, white variety), Lufengfang (Apiis Nidus, 0.5 liang), Luankuafa (Colla Corii Asini, one ball the size of a chicken egg, preferably from a boy).
The above three ingredients are chopped and burned to ash in an ironing pan. Grind finely into powder. Take 2 qian bi per dose, administered orally with rice water on an empty stomach. Cover to induce sweating, then take another dose.
Formula to be taken after external application for Ding Swelling if irritated by contact. Cang'er San (Xanthii Fructus Powder):
Cangerzi (Xanthii Fructus, 14 grains), Lufengfang (Apiis Nidus, 1 liang), Jici (Spina Gleditsiae Sinensis, 14 pieces), Feibo (Red Silk Fabric, 5 cun square), Luankuafa (Colla Corii Asini, one ball the size of a chicken egg), Qinghao (Artemisiae Annuae Herba, 14 stems), Dansha (Cinnabaris, 1 fen, ground separately).
The above seven ingredients, chop the first six, burn to ash in an ironing pan, grind finely, and mix with Dansha powder. Take 2 qian bi per dose, administered orally with warm wine on an empty stomach, and repeat in the evening.
Lufengfang San (Apiis Nidus Powder) for Treating Ding Swelling:
Lufengfang (Apiis Nidus), Luankuafa (Colla Corii Asini), Shetui (Ophioglossi Retorta), Jinzhen (Spina Gleditsiae Sinensis) (each 3 liang).
Wrap the above four ingredients in red silk fabric, burn to ash in an ironing pan, and grind finely into powder. Take 1 qian bi per dose, administered orally with warm wine on an empty stomach, and repeat at night. The root will naturally discharge.
Baiya Tu Fu Fang (White Tooth External Application) for Treating Ding Swelling Toxic Qi:
Baimaya (Equi Dentium Albus, calcined and ground), Fuzi (Aconiti Lateralis Radix Praeparata, ground), Xionghuang (Realgar, ground), Banxia (Pinelliae Rhizoma, ground) (each 0.5 liang), Zhuzhi (Suillae Adeps, 4 liang, rendered and filtered).
Grind the first four ingredients into powder, mix with Zhuzhi to form a paste. First, puncture the sore head with a needle, then apply the paste. Apply 3-5 times daily. Reapply after the root becomes necrotic, until cured.
Dahuang San Fu Fang (Rhei Radix et Rhizoma External Application) for Treating Ding Swelling:
Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried), Qinjiao (Gentianae Macrophyllae Radix, cleaned), Lilu (Veratri Rhizoma, cleaned), Shi Liuhuang (Sulfur, ground), Sha (Sand, ground) (each 1 liang).
Grind the first three ingredients into powder, mix with the finely ground last two ingredients. Mix with water to form a paste for external application. Apply 3-5 times daily, until cured.
Another Formula:
Jici (Spina Gleditsiae Sinensis, 200 pieces, chopped), Chenjuapi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, sliced, 2 liang).
Boil the above two ingredients in 5 sheng of water until reduced to 1.5 sheng. Strain and divide into three warm doses. Take one dose each on an empty stomach, at noon, and in the evening, until cured.
Canger Gao (Xanthii Root and Leaf Ointment) for All Types of Ding Swelling:
Canger Gen Jing Ye (Radix, Rhizoma, and Folium Xanthii, any amount).
Burn the single ingredient to ash, grind finely. Mix with vinegar and starch sediment from washing rice to form a paste. Apply externally. Reapply when dry, until cured.
Another Formula:
Tiejiang (Ferri Sulphas Liquid, any amount).
Drink one cup after meals daily, until cured.
Banmao Fu Fang (Mylabris External Application) for Treating Ding Swelling:
Banmao (Mylabris, 1 piece, crushed), Suanpi (Allii Sativi Bulbus Skin, 1 piece).
Puncture the sore head with a needle, place the crushed Banmao into the wound, cover with garlic skin, secure it. Once daily. Cured when the root discharges.
Bai Jiangcan San Fu Fang (Bombyx Batryticatus External Application) for Treating Ding Swelling:
Bai Jiangcan (Bombyx Batryticatus, 0.5 liang, stir-fried and ground).
Scrape open the sore head and apply the powder. Three times daily. Cured when the root becomes necrotic and discharges.
Huma Tu Fu Fang (Sesami External Application) for Treating Ding Swelling:
Huma (Sesami Indicum Fructus, burned to ash), Zhensha (Limenitidis Argo Sand, ground) (each 0.5 liang).
Mix and grind finely. Blend with vinegar to form a paste. Apply to the swelling. Change three times daily, until cured.
Another Formula:
Xionghuang (Realgar, 1 fen, ground).
Grind finely into powder. Apply to the swelling 3-5 times daily. If dry, re-moisten with vinegar, until cured.
Jizhen San (Spina Gleditsiae Sinensis Powder) for Internal Resolution of Ding Swelling:
Jizhen (Spina Gleditsiae Sinensis, inverted hooks from old trees, 32 pieces), Doudahuang (Soybean, raw, 40 pieces), Feibojin (Red Silk Towel, 3 strips, 1 cun wide each), Luankuafa (Colla Corii Asini, three balls the size of a chicken egg).
Divide the four ingredients into three portions. Wrap each portion of Jizhen and Douhuang in a piece of Feibo, then bind tightly with a ball of Luankuafa. Burn each bundle over charcoal until smoke ceases. Grind two bundles finely. Administer one bundle with half a cup of warm wine. When the sides of the sore feel soft, it indicates cure. If no effect after half a day, administer the remaining bundle; it will surely work.
Zhi Zhong Fang (Formula for Treating Swelling):
Ganjiang (Zingiberis Rhizoma Praeparatum, processed), Hujiao (Piperis Longi Fructus, stir-fried), Longgu (Fossilia Ossis Mastodi et Scalae, crushed), Banmao (Mylabris), Zaojiao (Gleditsiae Sinensis Fructus, peeled and roasted) (each 1 liang).
Grind and sieve into powder. Mix with wine to form a paste for external sealing/application. Once daily. Follow with oral medication.
Erhui San Tu Fang (Two Ashes Powder External Application) for Treating Swelling and Toxic Qi:
Jizhen (Spina Gleditsiae Sinensis, inverted hooks, rotten, 3 pieces), Dingxiang (Caryophylli Flos, 7 pieces).
Burn both ingredients together in a bottle until smoke stops. Grind finely. Mix with feces of an infant less than one month old. Apply to the swelling 3-5 times daily.